Case Management

Q&A: Physician's narrative of the face-to-face encounter

Case Management Weekly, March 23, 2011

Q: What is an example of a physician's narrative of face-to-face documentation?

A: The certifying physician's face-to-face description should be a brief narrative describing the patient's clinical condition and how the patient's condition supports homebound status and the need for skilled services.

For example, "The patient is temporarily homebound secondary to status post total knee replacement and currently walker dependent with painful ambulation. PT is needed to restore the ability to walk without support. Short-term skilled nursing is needed to monitor for signs of decomposition or adverse events from the new COPD medical regimen."

This week’s question and answer appear in the Frequently Asked Questions section of the CMS website. 

Do you have a question about a case management topic? Send it to Associate Editor Ben Amirault at An answer to your question might appear in a future issue of Case Management Weekly.

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